Two-thumb technique is superior to two-finger technique during lone rescuer infant manikin CPR

Udassi, Sharda; Udassi, Jai P.; Lamb, Melissa A.; Theriaque, Douglas W.; Shuster, Jonathan J.; Zaritsky, Arno; Haque, Ikram U.

doi:10.1016/j.resuscitation.2009.12.029

“…157 Two techniques have been described: compression with 2 thumbs with the fingers encircling the chest and supporting the back (the 2-thumb technique) or compression with 2 fingers with a second hand supporting the back (the 2-finger technique). Because the 2-thumb technique generates higher blood pressure and coronary perfusion pressure with less rescuer fatigue, the 2 thumb-encircling hands technique is suggested as the preferred method [158][159][160][161][162][163][164][165][166][167][168][169][170][171][172] (Class IIb, LOE C-LD). Because the 2-thumb technique can be continued from the head of the bed while the umbilicus is accessed for insertion of an umbilical catheter, the 2-finger technique is no longer needed.…”

Section: Chest Compressions Nrp 605 Nrp 895 Nrp 738 Nrp 862mentioning

confidence: 99%

Part 13: Neonatal Resuscitation

Wyckoff¹,

Aziz²,

Escobedo³

et al. 2015

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“…For the critical outcome of improved perfusion and gas exchange during CPR, we identified low-quality evidence from 9 randomized controlled trials (downgraded for indirectness and imprecision) [182][183][184][185][186][187][188][189][190] and 6 nonrandomized controlled trials (downgraded for indirectness, imprecision, and high risk of bias) [191][192][193][194][195][196] identifying higher blood pressure generation with the 2-thumb versus the 2-finger method.…”

Section: Consensus On Sciencementioning

confidence: 99%

Part 7: Neonatal Resuscitation

Perlman¹,

Wyllie²,

Kattwinkel³

et al. 2015

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“…157 Two techniques have been described: compression with 2 thumbs with the fingers encircling the chest and supporting the back (the 2-thumb technique) or compression with 2 fingers with a second hand supporting the back (the 2-finger technique). Because the 2-thumb technique generates higher blood pressure and coronary perfusion pressure with less rescuer fatigue, the 2 thumb-encircling hands technique is suggested as the preferred method [158][159][160][161][162][163][164][165][166][167][168][169][170][171][172] (Class IIb, LOE C-LD). Because the 2-thumb technique can be continued from the head of the bed while the umbilicus is accessed for insertion of an umbilical catheter, the 2-finger technique is no longer needed.…”

mentioning

confidence: 99%